ATI NUR 231 Fundamentals Proctored Exam

A nurse is preparing to clean a client's dentures. Which of the following actions should the nurse plan to take?

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?

Clients with special needs require specific communication techniques. Which specific communication techniques should a nurse utilize when caring for a client who is cognitively impaired?

A nurse is caring for a client who has dementia. The client is agitated and is having difficulty staying in his chair. Which of the following actions should the nurse take first?

A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?

What color and consistency would you expect serous drainage from a Jackson-Pratt (JP) drain to have?

A nurse is teaching a newly licensed nurse about ethical principles. Which of the following is an example of justice?

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following changes should the nurse plan to include?

A nurse is providing oral care for a client who had has impaired upper extremity strength. Which of the following actions should the nurse take?

A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do?

A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all

Which activity should the nurse implement to decrease shearing force on a client's stage II pressure injury?

The client has protective precautions (reverse isolation) in place due to a severely depressed neutrophil count. Which statement by the client demonstrates a good understanding of the precautions?

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions s

A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?

What does a score of 6 on the Katz Index of Independence in Activities of Daily Living (ADLs) indicate?

A nurse is preparing a poster presentation about communicating with clients. Which of the following strategies should the nurse include to enhance communication? (Select All that Apply.)

A nurse is teaching an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that th

The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that th

A nurse on the medical-surgical unit is conducting a fall risk assessment for four clients. The nurse should identify that which of the following clients is the greatest risk for a fall?

Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?

The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows to use touch cautiously when communicating with which patient?